Urinary Flashcards

1
Q

normal urine production

A

30mL/hr

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2
Q

what foods act as diuretics

A

caffeine
cucumbers
alcohol

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3
Q

meds can make urine what colors

A

blue
green
orange
black

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4
Q

if pt is fluid deficit

A

give fluids

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5
Q

main involuntary muscle

A

destrusser

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6
Q

can we control internal sphincter

A

no
*neurogenic control

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7
Q

decreased fluid intake can lead to

A

increased sodium

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8
Q

urinalysis tests for

A

glucose
ketones
WBC/RBC
antibiotics
*need 10 mL
*gross, not specific

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9
Q

C&S

A

sterile and specific
*need 3 mL

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10
Q

how to measure fluid in post residual void

A

bladder scanner

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11
Q

normal post void residual

A

> 50 mL

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12
Q

urine assessment

A

color
clarity
odor
volume over 24 hrs
specimens

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13
Q

24 hr urine sample

A

creatinine
clearance
renal function

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14
Q

BUN

A

gross indicator of urine function
*8-23 normal

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15
Q

increased BUN in

A

decreased kidney function
dehydration

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16
Q

ileal conduit

A

ureters into piece of ileum to create stoma

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17
Q

ureterostomy

A

ureters brought to surface, very small stoma

18
Q

neo bladder

A

remove bladder
small piece of intestine to create internal bowel with ureters attached

19
Q

UTI is the leading cause of

A

healthcare expenditures in persons of all ages
*#1 nosocomial infection

20
Q

UTI symptoms

A

dysuria, frequency, foul odor, cloudy
increased temp
increased WBC

21
Q

UTI risks

A

increased for females
increases with age
increases with indwelling caths
increased with diabetics

22
Q

which meds can cause urinary retention

A

anticholinergics
tricyclics
CCBs
narcotics
anesthesia

23
Q

where is biofilm harmful

A

indwelling cath

24
Q

pt needs to void within ____ of foley removal

25
straight cath
intermittent *put in, drain, pull out
26
indwelling cath
stays inside
27
suprapubic cath
long term
28
position for cath insertion
dorsal recumbent
29
indwelling cath appropriate uses
acute urinary retention periop would healing immobilization end of life care large volume infusions of diuretics surgery
30
indwelling cath alternative
purewick
31
sanitation for cath insertion
sterile or aseptic
32
transient incontinence
sudden *usually from illness or temporary problem
33
stress incontinence
weak pelvic floor muscles or deficient urethral sphincter *urine loss during increased intra abdominal pressure
34
urge incontinence
involuntary urine loss that occurs soon after feeling an urgent need to void
35
mixed incontinence
combo of stress and urgency
36
overflow incontinence
chronic retention of urine associated with overdistention and overflow
37
functional incontinence
inability to reach bathroom
38
reflex incontinence
emptying with no signal *spinal cord injuries
39
how to help with stress and overflow
kegels
40
how to help with urge, functional, and reflex
bladder training